| Procedure | Mercy Hospital Lebanon | Cox Medical Centers | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $99 | $32 | $51 |
| Abdominal fluid drain (paracentesis) | $997 | $469 | $284 |
| Abdominal ultrasound | $951 | $250 | $100 |
| Abdominal ultrasound (complete) | $1,202 | $336 | $114 |
| Abdominal ultrasound (limited) | $701 | $250 | $86 |
| Abscess drainage (complex or multiple) | $575 | $141 | $220 |
| Abscess drainage (simple) | $330 | $90 | $129 |
| Abscess incision and drainage | $452 | $108 | $174 |
| Albumin blood test | $33 | $21 | $5 |
| Aldosterone test | $322 | $119 | $41 |
| Alkaline phosphatase test | $88 | $25 | $5 |
| Alpha-fetoprotein (AFP) test | $104 | $51 | $17 |
| ALT liver enzyme test | $35 | $18 | $5 |
| Ammonia blood test | $64 | $52 | $15 |
| Amylase test | $84 | $48 | $6 |
| Antinuclear antibody (ANA) test | $188 | $45 | $12 |
| Arterial blood gas (ABG) | $114 | $80 | $26 |
| AST liver enzyme test | $35 | $18 | $5 |
| Barium swallow study | $626 | $184 | $107 |
| Basic metabolic panel | $126 | $56 | $8 |
| Benign skin lesion removal | $1,476 | $222 | $171 |
| Bilirubin blood test | $94 | $26 | $5 |
| Blood clotting test (PT/INR) | $58 | $21 | $4 |
| Blood crossmatch | $86 | $53 | — |
| Blood glucose test | $57 | $20 | $5 |
| Blood transfusion | $237 | $405 | $47 |
| Blood type and screen | $59 | $55 | $10 |
| Blood type test | $33 | $32 | $3 |
| Blood type test (ABO group) | $35 | $32 | $3 |
| Blood type test (Rh/D antigen) | $31 | $26 | $3 |
| BNP (heart failure) test | $77 | $72 | $39 |
| Bone density scan (DEXA) | $233 | $147 | $39 |
| Bone marrow biopsy | $6,626 | $1,044 | $172 |
| Bone scan (nuclear) | $1,606 | $560 | $259 |
| Breast ultrasound | $599 | $266 | $92 |
| Breast ultrasound (complete) | $547 | $271 | $100 |
| Breast ultrasound (limited) | $651 | $177 | $84 |
| Breathing tube insertion (intubation) | $1,405 | $106 | $133 |
| Bronchoscopy | $1,524 | $868 | $303 |
| Burn dressing and debridement (medium) | $668 | $99 | $166 |
| Burn treatment | $406 | $99 | $129 |
| C-reactive protein (CRP) | $105 | $35 | $5 |
| CA 19-9 tumor marker test | $67 | $56 | $21 |
| CA-125 ovarian marker test | $67 | $74 | $21 |
| Calcium blood test | $55 | $21 | $5 |
| Cardiac rehabilitation | $257 | $89 | $26 |
| Cardiac stress test | $1,001 | $187 | $39 |
| Cardioversion | $796 | $573 | $155 |
| Carotid artery ultrasound | $699 | $429 | $156 |
| CEA tumor marker test | $167 | $63 | $19 |
| Central line placement | $837 | $468 | $238 |
| Chemotherapy infusion | $380 | $157 | $81 |
| Chemotherapy infusion (each additional) | $353 | $112 | $28 |
| Chemotherapy infusion (first hour) | $406 | $202 | $133 |
| Chest fluid drain (thoracentesis) | $494 | $781 | $311 |
| Chest tube insertion | $2,109 | $902 | $143 |
| Chest X-ray | $329 | $97 | $37 |
| Chest X-ray (1 view) | $244 | $97 | $25 |
| Chest X-ray (2 views) | $305 | $118 | $33 |
| CK-MB heart enzyme test | $222 | $56 | $12 |
| Clotting time test (PTT) | $110 | $37 | $6 |
| Complete blood count (CBC) | $65 | $33 | $7 |
| Complete blood count (CBC) (complete) | $90 | $37 | $8 |
| Comprehensive metabolic panel | $259 | $99 | $11 |
| Copper blood test | $109 | $38 | $12 |
| Cortisol test | $87 | $58 | $16 |
| COVID-19 PCR test | $125 | $52 | $51 |
| CPAP titration study | $364 | $262 | $69 |
| Creatine kinase (CK) test | $69 | $34 | $7 |
| CT angiography of the chest | $1,195 | $872 | $281 |
| CT angiography of the head | $1,180 | $955 | $274 |
| CT scan of the abdomen | $2,226 | $782 | $230 |
| CT scan of the abdomen and pelvis | $2,430 | $1,435 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,631 | $1,588 | $338 |
| CT scan of the abdomen and pelvis with contrast | $1,991 | $1,435 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,430 | $1,231 | $183 |
| CT scan of the abdomen with and without contrast | $2,262 | $926 | $259 |
| CT scan of the abdomen with contrast | $2,226 | $782 | $230 |
| CT scan of the abdomen without contrast | $1,856 | $623 | $136 |
| CT scan of the arm | $1,176 | $645 | $199 |
| CT scan of the arm with contrast | $1,176 | $645 | $199 |
| CT scan of the arm without contrast | $1,077 | $566 | $161 |
| CT scan of the chest | $1,806 | $735 | $167 |
| CT scan of the chest with and without contrast | $1,975 | $845 | $196 |
| CT scan of the chest with contrast | $1,806 | $735 | $167 |
| CT scan of the chest without contrast | $901 | $660 | $133 |
| CT scan of the head | $1,185 | $636 | $148 |
| CT scan of the head with and without contrast | $1,619 | $815 | $173 |
| CT scan of the head with contrast | $1,185 | $762 | $148 |
| CT scan of the head without contrast | $1,075 | $636 | $107 |
| CT scan of the leg | $1,288 | $660 | $166 |
| CT scan of the leg with contrast | $1,546 | $660 | $166 |
| CT scan of the leg without contrast | $1,086 | $571 | $130 |
| CT scan of the lower back (lumbar spine) | $1,592 | $755 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,964 | $1,005 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,592 | $801 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,459 | $710 | $130 |
| CT scan of the neck | $1,460 | $699 | $183 |
| CT scan of the neck (cervical spine) | $1,724 | $723 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,048 | $1,390 | $196 |
| CT scan of the neck (cervical spine) with contrast | $1,724 | $796 | $168 |
| CT scan of the neck (cervical spine) without contrast | $921 | $723 | $131 |
| CT scan of the neck with and without contrast | $1,871 | $810 | $220 |
| CT scan of the neck with contrast | $1,460 | $699 | $183 |
| CT scan of the neck without contrast | $1,248 | $533 | $150 |
| CT scan of the pelvis | $1,780 | $736 | $226 |
| CT scan of the pelvis with and without contrast | $2,068 | $965 | $251 |
| CT scan of the pelvis with contrast | $1,780 | $736 | $226 |
| CT scan of the pelvis without contrast | $1,329 | $637 | $133 |
| CT scan of the sinuses | $1,861 | $600 | $152 |
| CT scan of the sinuses with and without contrast | $2,048 | $1,127 | $184 |
| CT scan of the sinuses with contrast | $1,861 | $708 | $152 |
| CT scan of the sinuses without contrast | $816 | $600 | $128 |
| D-dimer test | $164 | $61 | $10 |
| DHEA-sulfate test | $195 | $50 | $22 |
| Diagnostic mammogram | $311 | $103 | $140 |
| Drug screen (urine) | $226 | $99 | $17 |
| Ear pressure test (tympanometry) | $107 | $44 | $16 |
| Echocardiogram | $1,551 | $711 | $138 |
| Echocardiogram with and without contrast | $456 | $298 | $101 |
| EEG (awake and asleep) | $866 | $482 | $482 |
| EKG / ECG (tracing only) | $254 | $73 | $7 |
| Electrocardiogram (EKG) | $254 | $45 | $8 |
| Electroencephalogram (EEG) | $807 | $405 | $448 |
| Electrolyte panel | $53 | $54 | $7 |
| Emergency department visit | $1,140 | $696 | $69 |
| Emergency department visit (level 1) | $426 | $97 | $11 |
| Emergency department visit (level 2) | $472 | $186 | $40 |
| Emergency department visit (level 3) | $1,140 | $1,157 | $69 |
| Emergency department visit (level 4) | $1,278 | $554 | $118 |
| Emergency department visit (level 5) | $4,503 | $837 | $171 |
| Epidural steroid injection | $1,840 | $733 | $275 |
| Esophageal dilation | $1,404 | $220 | $522 |
| Estradiol (estrogen) test | $163 | $70 | $28 |
| Facet joint injection (spine) | $3,237 | $642 | $99 |
| Fallopian tube X-ray (HSG) | $537 | $261 | $164 |
| Fecal occult blood (stool) test | $46 | $20 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $29 | $15 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $64 | $24 | $16 |
| Ferritin (iron) test | $72 | $45 | $14 |
| Fibrinogen test | $98 | $34 | $10 |
| Flu test | $73 | $33 | $17 |
| Folate (folic acid) test | $59 | $39 | $15 |
| Foreign body removal (skin) | $1,631 | $235 | $157 |
| Free T4 thyroid test | $125 | $38 | $9 |
| FSH hormone test | $108 | $50 | $19 |
| Gallbladder scan (HIDA) | $2,038 | $608 | $334 |
| GGT liver test | $43 | $28 | $7 |
| Glucose tolerance test | $85 | $28 | $8 |
| H. pylori test | $219 | $114 | $67 |
| HDL cholesterol test | $79 | $23 | $8 |
| Hematocrit test | $17 | $19 | $2 |
| Hemoglobin A1c (diabetes test) | $44 | $28 | $10 |
| Hepatitis B test | $66 | $48 | $10 |
| Hepatitis C test | $86 | $66 | $14 |
| HIV test | $73 | $53 | $19 |
| HIV test (antigen/antibody combo) | $70 | $53 | $24 |
| Holter heart monitor | $692 | $152 | $26 |
| Iron blood test | $45 | $25 | $6 |
| IV infusion therapy | $156 | $156 | $44 |
| IV infusion therapy (each additional) | $96 | $78 | $21 |
| IV infusion therapy (initial) | $216 | $156 | $67 |
| Joint aspiration (small/intermediate) | $277 | $110 | $57 |
| Joint aspiration or injection (mid-size joint) | $416 | $110 | $57 |
| Joint aspiration or injection (small joint) | $138 | $102 | $56 |
| Kidney biopsy | $1,644 | $906 | $492 |
| Kidney scan (nuclear) | $1,262 | $584 | $172 |
| Kidney ultrasound | $707 | $237 | $84 |
| Kidney ultrasound (limited) | $469 | $237 | $61 |
| Knee joint injection | $293 | $164 | $69 |
| Lactate test | $174 | $49 | $12 |
| LDH test | $62 | $29 | $6 |
| LDL cholesterol test | $58 | $18 | $11 |
| Leg vein ultrasound (Doppler) | $983 | $352 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $787 | $352 | $116 |
| LH hormone test | $143 | $46 | $19 |
| Lipase test | $144 | $49 | $7 |
| Lipid (cholesterol) panel | $69 | $41 | $13 |
| Liver biopsy | $2,326 | $871 | $288 |
| Liver function panel | $137 | $56 | $8 |
| Lung function test (PFT) | $441 | $101 | $37 |
| Lung scan (V/Q) | $1,575 | $568 | $291 |
| Magnesium blood test | $59 | $38 | $7 |
| MRA of the brain | $2,766 | $1,093 | $226 |
| MRA of the brain with contrast | $2,766 | $1,093 | $226 |
| MRA of the brain without contrast | $3,071 | $1,167 | $328 |
| MRA of the neck | $2,518 | $878 | $245 |
| MRA of the neck with contrast | $2,518 | $878 | $245 |
| MRA of the neck without contrast | $2,558 | $1,126 | $343 |
| MRI of the abdomen | $2,193 | $1,138 | $300 |
| MRI of the abdomen with contrast | $2,193 | $1,138 | $300 |
| MRI of the abdomen without contrast | $1,914 | $868 | $194 |
| MRI of the ankle | $3,023 | $998 | $261 |
| MRI of the ankle with contrast | $2,732 | $998 | $261 |
| MRI of the ankle without contrast | $3,749 | $783 | $222 |
| MRI of the brain | $2,978 | $989 | $269 |
| MRI of the brain with contrast | $2,978 | $989 | $269 |
| MRI of the brain without contrast | $1,520 | $790 | $195 |
| MRI of the chest | $2,369 | $1,260 | $371 |
| MRI of the chest without contrast | $3,355 | $1,260 | $466 |
| MRI of the knee | $2,738 | $905 | $315 |
| MRI of the knee with contrast | $2,738 | $905 | $315 |
| MRI of the knee without contrast | $2,577 | $789 | $204 |
| MRI of the lower back (lumbar spine) | $2,462 | $1,057 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,462 | $1,057 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,277 | $847 | $192 |
| MRI of the mid-back (thoracic spine) | $2,633 | $1,278 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,673 | $1,406 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,633 | $1,278 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,528 | $913 | $190 |
| MRI of the neck (cervical spine) | $2,673 | $1,231 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,800 | $1,292 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,673 | $1,231 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,536 | $879 | $191 |
| MRI of the pelvis | $2,497 | $1,160 | $268 |
| MRI of the pelvis with contrast | $2,497 | $1,160 | $268 |
| MRI of the pelvis without contrast | $2,259 | $902 | $227 |
| MRI of the shoulder | $3,034 | $969 | $313 |
| MRI of the shoulder with contrast | $3,034 | $969 | $313 |
| MRI of the shoulder without contrast | $2,613 | $835 | $205 |
| MRI of the wrist | $2,213 | $1,079 | $330 |
| MRI of the wrist with contrast | $2,213 | $1,582 | $330 |
| MRI of the wrist without contrast | $1,654 | $815 | $303 |
| Nebulizer breathing treatment | $101 | $117 | $9 |
| Nerve conduction study | $326 | $123 | $118 |
| Nuchal translucency ultrasound | $472 | $101 | $116 |
| Nuclear cardiac stress test | $5,356 | $1,420 | $428 |
| Occupational therapy evaluation | $339 | $79 | $101 |
| Occupational therapy evaluation (high complexity) | $373 | $74 | $101 |
| Occupational therapy evaluation (low complexity) | $263 | $79 | $101 |
| Occupational therapy evaluation (moderate complexity) | $339 | $85 | $101 |
| Office visit (established patient) | $143 | $76 | $115 |
| Office visit (new patient) | $229 | $93 | $177 |
| Office visit, established patient (level 3) | $117 | $60 | $95 |
| Office visit, established patient (level 4) | $170 | $90 | $136 |
| Office visit, new patient (level 3) | $159 | $56 | $118 |
| Office visit, new patient (level 4) | $229 | $93 | $177 |
| Office visit, new patient (level 5) | $296 | $121 | $237 |
| Pap smear (cervical screening) | $121 | $40 | $20 |
| Parathyroid hormone (PTH) test | $178 | $87 | $41 |
| Pelvic ultrasound | $713 | $241 | $78 |
| Pelvic ultrasound (complete) | $875 | $302 | $105 |
| Pelvic ultrasound (limited) | $552 | $181 | $51 |
| Phosphorus blood test | $35 | $26 | $5 |
| Physical therapy evaluation | $344 | $78 | $98 |
| Physical therapy evaluation (high complexity) | $434 | $75 | $98 |
| Physical therapy evaluation (moderate complexity) | $344 | $63 | $98 |
| Platelet count | $77 | $31 | $4 |
| Pregnancy blood test (hCG) | $92 | $55 | $8 |
| Pregnancy ultrasound | $810 | $219 | $126 |
| Pregnancy ultrasound (first trimester) | $733 | $239 | $117 |
| Pregnancy ultrasound (second or third trimester) | $887 | $144 | $136 |
| Procalcitonin test | $125 | $85 | $27 |
| Prolactin test | $196 | $80 | $19 |
| Prostate test (PSA) | $69 | $47 | $18 |
| Pulmonary rehabilitation | $332 | $81 | $87 |
| Radiofrequency nerve ablation | $2,077 | $1,492 | $462 |
| Scoliosis spine X-ray | $411 | $150 | $58 |
| Scoliosis spine X-ray (1 view) | $389 | $85 | $44 |
| Scoliosis spine X-ray (3 views) | $434 | $150 | $72 |
| Screening mammogram | $363 | $171 | $126 |
| Scrotal ultrasound | $763 | $290 | $99 |
| Sedimentation rate (ESR) test | $47 | $20 | $3 |
| Semen analysis | $116 | $54 | $12 |
| Sex hormone binding globulin test | $183 | $57 | $22 |
| Skin biopsy | $840 | $105 | $121 |
| Skin biopsy (punch) | $415 | $160 | $121 |
| Skin tag removal | $1,810 | $130 | $92 |
| Sleep study (polysomnography) | $1,580 | $1,411 | $691 |
| Soft tissue ultrasound | $753 | $161 | $64 |
| Speech therapy | $161 | $98 | $76 |
| Spinal cord stimulator | $3,187 | $3,208 | $2,388 |
| Spinal tap (lumbar puncture) | $647 | $181 | $165 |
| Spirometry (lung function test) | $345 | $83 | $30 |
| Spirometry with bronchodilator | $537 | $142 | $43 |
| Strep throat test | $81 | $30 | $17 |
| Stress echocardiogram | $2,116 | $818 | $209 |
| Stress echocardiogram (complete) | $2,381 | $700 | $233 |
| Swallow study | $114 | $108 | $85 |
| T3 thyroid test | $87 | $42 | $14 |
| Testosterone test | $140 | $57 | $26 |
| Thyroid test (TSH) | $12 | $48 | $17 |
| Thyroid ultrasound | $785 | $273 | $109 |
| Thyroid uptake scan | $878 | $415 | $145 |
| Total IgE allergy test | $88 | $37 | $16 |
| Total protein test | $49 | $30 | $4 |
| Transvaginal ultrasound | $717 | $223 | $118 |
| Trigger point injection | $388 | $155 | $56 |
| Trigger point injection (1-2 muscles) | $397 | $135 | $52 |
| Triglycerides test | $34 | $23 | $6 |
| Troponin (heart) test | $184 | $61 | $12 |
| Upper GI series (barium) | $754 | $231 | $128 |
| Uric acid (gout) test | $82 | $24 | $5 |
| Urinalysis | $59 | $16 | $3 |
| Urine microalbumin test | $49 | $21 | $5 |
| Urine pregnancy test | $98 | $44 | $9 |
| Vaccine administration | $67 | $25 | $19 |
| Vaccine administration (each additional) | $48 | $25 | $16 |
| Vitamin B12 test | $58 | $39 | $15 |
| Vitamin D test | $116 | $61 | $30 |
| Wound debridement | $743 | $396 | $186 |
| X-ray of the abdomen | $376 | $121 | $36 |
| X-ray of the ankle | $379 | $129 | $37 |
| X-ray of the collarbone | $538 | $136 | $33 |
| X-ray of the elbow | $384 | $126 | $33 |
| X-ray of the facial bones | $247 | $143 | $39 |
| X-ray of the foot | $527 | $126 | $34 |
| X-ray of the forearm | $170 | $106 | $29 |
| X-ray of the hand | $476 | $139 | $38 |
| X-ray of the hip | $285 | $107 | $49 |
| X-ray of the hip (1 view) | $215 | $85 | $34 |
| X-ray of the hip (3 views) | $285 | $107 | $49 |
| X-ray of the hip (4 views) | $341 | $156 | $63 |
| X-ray of the knee | $501 | $130 | $42 |
| X-ray of the knee (2 views) | $261 | $111 | $34 |
| X-ray of the knee (3 views) | $501 | $130 | $42 |
| X-ray of the knee (4+ views) | $552 | $171 | $49 |
| X-ray of the lower back (lumbar spine) | $498 | $184 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $387 | $140 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $609 | $184 | $53 |
| X-ray of the lower leg | $274 | $115 | $31 |
| X-ray of the mid-back (thoracic spine) | $414 | $148 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $365 | $118 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $462 | $148 | $39 |
| X-ray of the neck (cervical spine) | $408 | $136 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $356 | $136 | $40 |
| X-ray of the pelvis | $342 | $104 | $36 |
| X-ray of the pelvis (1 view) | $314 | $104 | $28 |
| X-ray of the ribs | $328 | $143 | $42 |
| X-ray of the ribs (2 views) | $328 | $110 | $36 |
| X-ray of the ribs (3 views) | $385 | $143 | $42 |
| X-ray of the shoulder | $501 | $123 | $36 |
| X-ray of the skull | $282 | $167 | $40 |
| X-ray of the upper arm | $439 | $109 | $32 |
| X-ray of the wrist | $519 | $123 | $43 |
| Zinc blood test | $89 | $45 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
